GOVERNMENT OF TAMIL NADU
DIRECTORATE OF TECHNICAL EDUCATION
TAMIL NADU ENGINEERING ADMISSIONS - 2024
Application for Admission to B.E/B.Tech Degree Course
Application Number: 379810
Personal Information
Name: SENTHAMIZHSELVAN S Name of the Parent/Guardian: SENTHIL G
Communication Address: 274,4TH STREET,SIRUVATHUR,PANRUTI TK Permanent Address: 274,4TH STREET,SIRUVATHUR,PANRUTI TK
State: Tamil nadu District: Cuddalore
Taluk: Panruti Communication address pincode: 607106
Native District: Cuddalore Civic status of Native Place: Village Panchayat
Date of Birth (DD-MM-YYYY): 12-12-2006 Gender: Male
Mother Tongue: Tamil Nationality: Indian
Nativity: Tamil nadu Religion: Hindu
Name of the Community: MBC & DNC Name of the Caste:
Vanniakula Kshatriya (including Vanniyar, Vanniya, Vannia Gounder, Gounder or Kander, Pa-
dayachi, Palli and Agnikula Kshatriya)
Aadhar Number (optional): 336828390123
Special Reservation Information
Whether you are a candidate under quota for Eminent Sports person as per Ex-Servicemen (Only Army/Navy/ Air force services are Eligible): No
annexure-II, item No.22 of information brochure?:
No
Differently Abled Person: No Differently Abled Type: --
TFC Center for certificate verification:
University College Of Engineering, Panruti, Chennai-Kumbakonam Highway, Panikkankuppam,
Panruti, Cuddalore - 607106
Scholarship Information
Parent Occupation: Agriculture Annual Income: 72000
Are you a First Graduate?: Yes Post Matric Scholarship (SC/SCA/ST/Converted Christians): No
Are you planning to avail education loan?: Y
School of Study Information
Category of School: Private Civic status of school location (+2): Municipality
Have you studied VIII to XII in Tamil Nadu?: Yes Have you studied from VI to VIII in private school under RTE and IX to XII
in Government School?:
No
Have you studied VI to XII in Government school?: No
Class Year of Passing Name of the school District State Block Category of
Govt.School
VI Std. 2018 thiruvalluvar ,matriculation higher sec- Cuddalore Tamil nadu Panruti --
school panruti
VII Std. 2019 thiruvalluvar ,matriculation higher sec- Cuddalore Tamil nadu Panruti --
school panruti
VIII Std. 2020 thiruvalluvar ,matriculation higher sec- Cuddalore Tamil nadu Panruti --
school panruti
IX Std. 2021 thiruvalluvar ,matriculation higher sec- Cuddalore Tamil nadu Panruti --
school panruti
X Std. 2022 thiruvalluvar ,matriculation higher sec- Cuddalore Tamil nadu Panruti --
school panruti
XI Std. 2023 Srv Boys Higher Secondary Namakkal Tamil nadu Rasipuram --
School,rasipuram.
XII Std. 2024 Srv Boys Higher Secondary Namakkal Tamil nadu Rasipuram --
School,rasipuram.
Academic Information
Qualifying Examination: TN-HSC Name of the Board of Examination: Tamil nadu Board of Higher Secondary Education
Permanent register number: -- HSC Roll number: 6327201
Qualified Year: 2024 HSC Group: HSC Academic
Group Code: Physics/ Chemistry/ Maths/ Computer Science Medium of Instruction: English
HSC maximum (total) marks: -- HSC obtained marks: --
SSLC maximum (total) marks: 500 SSLC obtained marks: 361
No you applied for NEET ?:
Have Yes you applied for JEE ?:
Have
GOVERNMENT OF TAMIL NADU
DIRECTORATE OF TECHNICAL EDUCATION
TAMIL NADU ENGINEERING ADMISSIONS - 2024
Application for Admission to B.E/B.Tech Degree Course
Application Number: 379810
Have you applied for Indian Maritime University Common Entrance Test (IMU Educational Management Information System(EMIS) Number: 2003670095
CET)?:
No
Community certificate number: TN-520211126459 Nativity certificate number (if applicable): --
GOVERNMENT OF TAMIL NADU
DIRECTORATE OF TECHNICAL EDUCATION
TAMIL NADU ENGINEERING ADMISSIONS - 2024
Application for Admission to B.E/B.Tech Degree Course
Application Number: 379810
DECLARATION BY THE APPLICANT
I, SENTHAMIZHSELVAN S (Son / Daughter) of SENTHIL G hereby solemnly declare that the information furnished and the statements
given in the application and the enclosures are true, correct and complete. I further declare that should it be found otherwise, I will be liable
to forfeit my seat and / or removal from the rolls of the Institution at whatever stage of study I may be, besides making me liable for criminal
prosecution. I am fully aware that as per the directions of the Hon'ble Supreme Court of India and Tamil Nadu Prohibition of Ragging Act
1997, Ragging is an offence, as is banned in the Institutions and anyone indulging in ragging is liable to be punished such as expulsion from
the Institutions and / or rigorous imprisonment up to 3 years, and / or fine up to Rs.25,000/-
Place:
Date: ( Signature of the Applicant )
DECLARATION BY THE PARENT/ GUARDIAN
I, SENTHIL G (Parent / Guardian) of SENTHAMIZHSELVAN S hereby solemnly declare that I am fully aware of the declaration made by
the applicant, and I declare and bind myself on the same terms contained in the above declaration. The statements and the information given
are true, correct and complete. If it is found otherwise, the applicant is liable to forfeit the seat and / or removal from the rolls of the Institution
at whatever may be the stage of study, besides making me liable for criminal prosecution I am fully aware that as per the directions of the
Hon'ble Supreme Court of India and Tamil Nadu Prohibition of Ragging Act 1997,Ragging is an offence, as is banned in the Institutions and
anyone indulging in ragging is liable to be punished such as expulsion from the Institution and / or rigorous imprisonment up to 3 years, and /
or fine up to RS. 25,000/-
Place:
Date: ( Signature of Parent / Guardian )
Note: Guardian can execute the above declaration, only if both the parents are not alive.
GOVERNMENT OF TAMIL NADU
DIRECTORATE OF TECHNICAL EDUCATION
TAMIL NADU ENGINEERING ADMISSIONS - 2024
Application for Admission to B.E/B.Tech Degree Course
Application Number: 379810
The following Certificates copy have to be uploaded to our system.
1. Transfer certificate
2. 10th Mark Sheet
3. 12th Mark Sheet
4. Permanent Community Certificate Card for MBC & DNC (Permanent card / Electronic form / Digitally Signed E-Certificate)
5. Income Certificate of the Parent
6. Special Reservation Form for Sports and relevant certificates
7. Special Reservation Form for Ex-Serviceman and relevant certificates
8. Special Reservation Form for Blindness & Low Vision and relevant certificates
